What is the role of topical antiglaucoma medications in the treatment of hyphema?

Updated: Jan 18, 2019
  • Author: David L Nash, MD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Answer

Topical antiglaucoma medications usually lower intraocular pressure. With the advent of newer glaucoma modalities, initiating therapy incrementally with brimonidine tartrate (Alphagan, Allergan), followed by latanoprost (Xalatan, Pharmacia) and timolol maleate (Timoptic, Merck), is recommended. If intraocular pressure is still elevated, a topical carbonic anhydrase inhibitor should be added. In patients with sickle cell trait or sickle cell disease, methazolamide and topical beta-blockers should be substituted. [10, 58]


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